| NPI | 1437605433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE FALWELL Executive Director 904-619-6071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |